The Structural Quality of Health Services as a Potential Constraint for Human Capital Accumulation

HEALTH RELATED BEHAVIOURS AS DETERMINANTS OF WELLBEING, Forthcoming

57 Pages Posted: 9 Jan 2012 Last revised: 10 Sep 2012

See all articles by Juan-Pablo Gutierrez

Juan-Pablo Gutierrez

UNAM; National Institute of Public Health - Center for Evaluation Research & Surveys

Date Written: January 9, 2012

Abstract

One key assumption underlying interventions and policies aiming to promote development by increasing the accumulation of human capital, particularly health capital, is that increasing access to and utilisation of health services will translate into health capital. This assumption, from GrossmanĀ“s health capital model, assumes that both preventive and curative health services improve health status and thus increase its level. The ability of health services to generate health is related to their quality. In terms of analysing the quality of health services, structural quality could be viewed as a necessary but not sufficient component of quality; having areas, equipment, supplies and medicine to offer health services is a requirement to offer care, and thus, analysing structural quality provides a basic measure of the ability of health services to effectively generate health. While there is an important amount of literature regarding quality of health services, empirical analysis of structural quality are limited as are those related this dimension of quality and outcome indicators. In this chapter, I present the first published analysis on structural quality of primary health services in Mexico and show large heterogeneity in structural quality that is negatively correlated with general living conditions, meaning that the poorest are served by the lowest level of structural quality facilities, and some indication that poor quality is related to higher infant mortality rate. Improving structural quality is required if development is sought.

Keywords: structural quality, primary health care, Mexico, Oportunidades

JEL Classification: I10, I38, L15

Suggested Citation

Gutierrez, Juan-Pablo, The Structural Quality of Health Services as a Potential Constraint for Human Capital Accumulation (January 9, 2012). HEALTH RELATED BEHAVIOURS AS DETERMINANTS OF WELLBEING, Forthcoming. Available at SSRN: https://ssrn.com/abstract=1982040

Juan-Pablo Gutierrez (Contact Author)

UNAM ( email )

Circuito Mario de la Cueva s/n
CDMX, CDMX 52760
Mexico

National Institute of Public Health - Center for Evaluation Research & Surveys ( email )

Cuernavaca
Morelos
Mexico

HOME PAGE: http://www.insp.mx

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